Active NPI
Montgomery Otolaryngology LLP
- Otolaryngology Physician
- Montgomery, AL
National Provider Identifier
1497865893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- MONTGOMERY OTOLARYNGOLOGY LLP
- Practice address
- 1722 Pine St
Suite 804
Montgomery, AL 36106-1103 - Phone
- (334) 834-7221
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rodger Egeland, MPH
- Title
- Administrator
- Phone
- (334) 834-7221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
1722 Pine St
Suite 804
Montgomery, AL 36106-1103
Mailing address
1722 Pine St
Suite 804
Montgomery, AL 36106-1103
Phone (334) 834-7221
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528801560 | Medicaid | AL | |
| D507 | Other | AL | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
2055 E South Blvd
Ste 810
Montgomery, AL 36116
1111 Olive St
Montgomery, AL 36106
Phone (334) 293-8888
645 McQueen Smith Rd N
Ste 206
Prattville, AL 36066
Phone (334) 358-4200
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Montgomery, AL
- NPI 1336256601
-
- Otolaryngology Physician
- Montgomery, AL
- NPI 1255449336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302566400000",
"number": "1497865893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 PINE ST",
"address_2": "SUITE 804",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061103",
"telephone_number": "334-834-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 PINE ST",
"address_2": "SUITE 804",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061103",
"telephone_number": "334-834-7221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTGOMERY OTOLARYNGOLOGY LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2011-04-12",
"status": "A",
"authorized_official_last_name": "EGELAND",
"authorized_official_first_name": "RODGER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "334-834-7221",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MPH"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528801560",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "D507",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
- Montgomery Obstetrical & Gynecological Associates
- Montgomery Open MRI, LLC
- Montgomery Optical Center Inc.
- Montgomery Optometric Clinic
- Montgomery Orthodontic Specialists
- Montgomery Pediatric Assoc, P.a.
- Montgomery Physical Medicine & Rehabilitation, P.C.
- Montgomery Psychiary, PC
- Montgomery Psychiatry & Associates
- Montgomery Psychiatry, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.